Drug allergy erythema multiforme: Difference between revisions

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{{CMG}}


==Overview==
'''Erythema multiforme''' is a skin condition of unknown etiology, but some authors suggest that the disease is mediated by deposition of immune complex ( mostly IgM ) in the superficial microvasculature of the skin and oral mucous membrane that usually follows an antecedent infection or drug exposure. It varies from a mild, self-limited rash (E. multiforme minor) to a severe, life-threatening form (E. multiforme major, or [[Stevens-Johnson syndrome]]) that also involves mucous membranes.
== Diagnosis ==
===Common Causes===
The most common predisposing infection for E. multiforme is [[Herpes simplex]], but bacterial infections (commonly [[Mycoplasma]]) and fungal diseases are also implicated. E. multiforme may also be caused by drug reactions, most commonly [[sulfa drugs]], [[phenytoin]], [[barbiturates]], [[penicillin]], and [[allopurinol]], or a host of internal ailments.
=== History and Symptoms ===
The skin form of E. multiforme, far more common than the severe form, usually presents with mildly itchy, pink-red blotches, symmetrically arranged and starting on the extremities. It often takes on the classical "target lesion" appearance, with a pink-red ring around a pale center. Resolution within 7-10 days is the norm.
=== Physical Examination ===
<div align="center">
<gallery heights="175" widths="175">
Image:erythema multiforme (HSV, target lesion).jpg|Erythema Multiforme (HSV, drug rxn, target lesion)  Severe = Stevens-Johnson Syndrome<ref>http://picasaweb.google.com/mcmumbi/USMLEIIImages/photo#5089143178601475426</ref>
Image:Steven_Johnsons_Syndrome.jpg|Erythema Multiforme Major
Image:Erythema_multiforme.jpg|Erythema Multiforme reaction to an antibiotic
</gallery>
</div>
{{clr}}
==References==
<references/>

Latest revision as of 15:19, 17 August 2012